Prospective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-up.

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  • Additional Information
    • Source:
      Publisher: Instituto de Ensino e Pesquisa Albert Einstein Country of Publication: Brazil NLM ID: 101281800 Publication Model: Print Cited Medium: Internet ISSN: 2317-6385 (Electronic) Linking ISSN: 16794508 NLM ISO Abbreviation: Einstein (Sao Paulo) Subsets: MEDLINE
    • Publication Information:
      Original Publication: São Paulo, SP : Instituto de Ensino e Pesquisa Albert Einstein
    • Subject Terms:
      Radiofrequency Ablation/*methods ; Saphenous Vein/*surgery ; Vascular Diseases/*surgery; Absenteeism ; Adult ; Aged ; Chronic Disease ; Female ; Follow-Up Studies ; Humans ; Length of Stay ; Ligation/methods ; Male ; Middle Aged ; Postoperative Period ; Prospective Studies ; Quality of Life ; Recurrence ; Saphenous Vein/diagnostic imaging ; Severity of Illness Index ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler, Color ; Vascular Diseases/diagnostic imaging ; Young Adult
    • Abstract:
      Objective: To compare the use of the radiofrequency thermoablation of the saphenous vein with the ligation technique, and complete removal of the saphenous vein, from the saphenofemoral junction to the ankle.
      Methods: A total of 49 patients with chronic venous disease in the Comprehensive Classification System for Chronic Venous Disorders (CEAP) classes 2 to 4 for clinical signs, etiology, anatomic distribution and pathophysiology, were assessed at baseline, after 4 weeks, and after 1 year. The parameters assessed were complications, period of absence from activities, Venous Clinical Severity Score (VCSS) and quality of life scores according to Aberdeen Varicose Veins Questionnaire (AVVQ). They were re-examined 1 and 3 years after treatment to evaluate recurrence rates.
      Results: The success rate per limb (p=0.540), VCSS (p=0.636), AVVQ (p=0.163), and clinical complications were similar in the two treatment groups. Nevertheless, the radiofrequency thermoablation group had significant shorter length of hospital stay (0.69±0.47) and absence from activities (8.62±4.53), p<000.1.
      Conclusion: Patients submitted to radiofrequency thermoablation had an occlusion rate, clinical recurrence and improvement in quality of life comparable to removal of the saphenous vein. However, these patients spent less time hospitalized and away from their daily activities during recovering.
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    • Publication Date:
      Date Created: 20190509 Date Completed: 20190717 Latest Revision: 20200225
    • Publication Date:
      20231215
    • Accession Number:
      PMC6497181
    • Accession Number:
      10.31744/einstein_journal/2019AO4526
    • Accession Number:
      31066792